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General NPI Number Information
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NPI Number | 1659529212
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Entity Type | Individual
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Provider Name | ZACHARY DAVID TORRY M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/08/2008
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Last Update Date | 06/03/2015
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Provider Practice Location Address
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Address Line | 45 CAMINO ALTO SUITE 204
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City | MILL VALLEY
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State | CA
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Zip | 94941-2929
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Country | US
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Telephone | 650-458-7407
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Fax | 650-458-0403
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Provider Business Mailing Address
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Address Line | 45 CAMINO ALTO SUITE 204
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City | MILL VALLEY
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State | CA
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Zip | 94941-2929
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Country | US
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Telephone | 650-458-7407
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Fax | 650-458-0403
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 255403
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A113782
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD439970
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License Number State | PA
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